Fillable Form 1: 2 3 4 (Civil Law Self-Help Center)

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Form 1: 2 3 4 (Civil Law Self-Help Center)

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For forms and information, visit www. civillawselfhelpcenter.org
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©
2017 Civil Law Self-Help Center
PET
(Your name)
(Your mailing address)
(Your city, state, zip code)
(Your telephone number)
(Your e-mail address)
Petitioner(s) Other ________, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
,
Petitioner(s),
vs.
,
Respondent(s).
STIPULATION AND ORDER FOR CONTINUANCE OF MEDIATION
The mediation of the above captioned matter is currently scheduled to be held on (insert date
and time of currently scheduled mediation)
the ____ of ________________, 20___ at a.m. p.m.
IT IS HEREBY STIPULATED between Petitioner, (insert Petitioner’s name)
_________________________, and Respondent, (insert Respondent’s name)_______________________,
above named, pursuant to NFMR 16(1), that the current mediation hearing be vacated and the
time for the mediation in the above entitled matter be continued to a time not in excess of 30
days.
DATED this day of , 20 .
___________________________ ___________________________
(Petitioner’s signature) (Respondent’s signature)
___________________________ ___________________________
(Petitioner’s name) (Respondent’s name)
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©
2017 Civil Law Self-Help Center
ORDER CONTINUING MEDIATION
The hearing date of the ____ of _______________, 20___ is vacated. The new hearing
date and time is at _____ a.m. p.m.
DATED this day of , 20__.
MEDIATOR
CERTIFICATE OF SERVICE
A copy of the foregoing Stipulation and Order for Continuance of Mediation and Order was:
Mailed to respective parties at the following address(es) on
the _____ day of ______________ 20__:
_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
Electronically served on all interested parties on
the _____ day of ______________ 20__ pursuant to N.E.F.C.R. Rule 9.
By_______________________________________
EMPLOYEE OF MEDIATOR
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Form 1: 2 3 4 (Civil Law Self-Help Center)

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Completed 8 January 2021

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